Individual
DIANA CANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
74 BRICK BLVD BLDG 4, BRICK, NJ 08723-7984
(732) 992-8171
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(732) 982-2888
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00775000
NJ
106H00000X
Marriage & Family Therapist
Primary
37AC00775000
NJ
Other
Enumeration date
05/20/2024
Last updated
02/10/2026
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